Provider Demographics
NPI:1043076300
Name:REVISED PERSPECTIVE
Entity type:Organization
Organization Name:REVISED PERSPECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC-IKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADIKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-584-6120
Mailing Address - Street 1:9370 SW 72ND ST STE A280
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5465
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9370 SW 72ND ST STE A280
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5465
Practice Address - Country:US
Practice Address - Phone:786-584-6120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty